Healthcare Provider Details
I. General information
NPI: 1871412684
Provider Name (Legal Business Name): WELL HOUSE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9840 LARI BEL DRIVE
FAIRHOPE AL
36532
US
IV. Provider business mailing address
120 19TH ST N STE 201
BIRMINGHAM AL
35203-3219
US
V. Phone/Fax
- Phone: 241-451-7377
- Fax:
- Phone: 251-451-7377
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JERRY
WAYNE
BARTON
JR.
Title or Position: OWNER / PROVIDER
Credential: FNP
Phone: 251-451-7377